FALL SEMESTER 2023
Registration Form
Child's Name
First Name
Last Name
Birth Date
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Year
Address
Street Address
Street Address Line 2
City
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Postal / Zip Code
Mother's Name
First Name
Last Name
Mother's Phone Number
Please enter a valid phone number.
Father's Name
First Name
Last Name
Father's Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
E-mail
example@example.com
Please list ANY allergies your child may have:
CHOOSE YOUR CLASS
*
Please Select
MONDAY-MINDFUL KIDZ-12:15-1:15
MONDAY-ALL-STAR WELLNESS-4:30-5:30
TUESDAY-NINJA KIDZ-12:15-1:15
WEDNESDAY-MINDFUL KIDZ-4:00-5:00
WEDNESDAY-NINJA KIDZ-5:00-6:00
THURSDAY-LITTLE MANDARINS-4:00-5:00
FRIDAY-LIL MUNCHKINS MUSIC-10:00-11:00
FRIDAY-NINJA KIDZ-4:00-5:00
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( X )
FOUR (4) CLASSES- MON-THURS
Classes must be used in succession- (1) Makeup Available
$
110.00
FULL SEMESTER (13) CLASSES- MON-THURS
Semester Starts September 11th - December 19th
$
325.00
FOUR (4) CLASSES-FRIDAYS
Classes must be used in succession - (1) Makeup Available
$
110.00
FULL SEMESTER (11) CLASSES-FRIDAYS
Semester Starts September 11th- December 12th
$
275.00
ONE FREE TRIAL
Choose class above and email to specify date at thekidzcourse@gmail.com
$
Free
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